Your baby: Birth center or hospital    
Now offering postpartum home services.

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Kay Jackson, CNM, ARNP, is the South Sound's only independently practicing midwife able to provide the Midwifery Model of care both in and out-of-hospital. This means the midwife you've come to know at all your prenatal appointments will be there to care for you in labor. Kay is partnering with Ce Durfee, CNM, ARNP, CLC to offer home postpartum and lactation support services within the Seattle-Tacoma area, birth support and prenatal clinic care. Both Kay and Ce offer respectful, person-centered care for pregnancy, birth, and beyond.


Off the Grid Midwives specialize in out-of-hospital birth at The Birthing Inn which is Tacoma's only freestanding birth center. Kay also offers care for hospital birth at St. Joseph's Medical Center. Our expertise includes water birth, hospital-based VBAC, use of hypnosis in childbirth, and personalized postpartum support.


If there's a concern during planned out-of-hospital labor, Kay can admit you to St. Joseph Medical Center's Family Birthing Center, their Labor & Delivery unit, and continue to be your midwife there. Kay partners with local obstetricians only if special help is needed. Kay is the only midwife in Tacoma and surrounding areas to offer such comprehensive care both in and out of the hospital.


Kay & Ce tailor after-baby care to your immediate needs, those that show themselves a couple of weeks later, and to your ongoing health in the weeks and months after that. Postpartum care is available in your home, in the clinic, and virtually.


Because adding a new family member comes with unexpected challenges, we screen for the many common physical, intimacy, and postpartum mood issues that can emerge. It seems natural to first address many of these with supplements, support, humor, and a hug. 


As nurse practitioners, Off the Grid Midwives can also help you decide when prescription medication is appropriate for any of the number of things that come up during or after a birth. As a lactation counselor, Ce has extra training in addressing feeding issues and concerns as well.

We are here for you even after the baby comes...

Taking the "scary" out of health care...

You don't have to be left without the kind of personalized care you've come to expect from Off the Grid after you've had your baby.


Kay has been a reproductive health specialist for over 25 years and is committed to making sure annual exams and the evaluation of issues that arise during the year are taken care of in a relaxed and sensitive way.


You can take advantage of this kind of care throughout your lifetime. No matter your age -whether you're putting off starting a family, having difficulty getting one started, or you've come to the end of that road- midwives are with you for a lifetime.


And tell your mom and loved ones too. She/they may want the same consideration while navigating their own stages of life.

This beautiful video was a gift from Milkman-Media.com. We're so grateful to Bethany for telling her story and to her videographer husband for sharing his talent with Off the Grid. We're proud she allowed us to take part in her wonderful birth.


Small Fellow Elliot's Mom:

I can’t even begin to express how grateful I feel to have found Kay. I’ve never felt able to truly be myself with a healthcare provider and Kay accepted my weirdness and anxiety every step of the way. We will never forget her calm, patience, and incredible stamina (through days of induction and an eventual c-section which was far different than our birth center plans) that brought our son into the world. Her incredible empathy and skill guided us through one of the most intense experiences - and she’s a laugh riot to boot. If you’ve felt ignored, dismissed, or disconnected from care before, make an appointment at Off the Grid.

We adore her.
Elizabeth, Ben, and small fellow Elliot


Kay was so incredible throughout the entire pregnancy and delivery process. I had high anxiety and she was so caring and understanding. She’s also incredibly bright and knows what she is doing! I was able to have my dream water birth at Saint Joe’s in Tacoma.


So glad to have had Kay with us on our journey to bring our son into the world! She helped calm any nerves or worries I had, was a reassurance that pregnancy and childbirth are a magical and short stage of life, is a wealth of information, and was such a calm presence at our birth. I'm really going to miss our regular visits!


I sure wish I had Kay as my midwife during my own 3 births. Kay helped my sister deliver a beautiful baby girl yesterday, and I can honestly say, it was an honor to witness a calm and natural environment with her as the midwife. All women should be treated the way my sister was treated. She never provoked fear or intervention and my sister was able to achieve the birth of her dreams. Thank you Kay.


We arrive at the hospital in labor. ER Doc examined me, said I was at a 9. Thinking I would be delivering in the ER (ugh) my AMAZING Midwife Kay was quickly there to re-examine and come to find out I was at a 4! Thank God! Happy to not be delivering in the ER. Went up to my room, made comfortable. Kay even rubbed my feet. :-) 4 hours later, my 8lb baby girl was born a beautiful natural childbirth. I really loved and so appreciated Kay's TLC. Thank God for Midwives! 



We switched providers in my third trimester when she wasn't on board with a vbac and a larger baby. But Kay Jackson my wonderful midwife was on board and I think just as excited as we were about our vbac! And our wonderful doula Erinn was wonderful support from the day I walked into Kay's office. โ™กโ™ก


Fun side note from Kay: 

Jamie had an 11lb+ baby in about six hours with no trouble at all. And this a VBAC when she'd previously been told her Cesarean was because her 10lb baby would never fit. Actually, I'm glad I didn't know from the beginning what a keeper this "little" guy was going to be. Talk to us sometime about why bigger second and third babies can come right out when their older sib didn't.                                            -Kay


Loved Kay for well woman care ๐Ÿ’•

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clinic location & numbers

6002 Westgate Boulevard, Suite 274, Tacoma, WA 98406

Office: (253) 509-2960 Fax: (306) 400-2735

Office manager & voicemail: (360) 633-9146

Secure e-Fax: (306) 400-2735 (Yes, the 306 area code is correct)


clinic hours

Monday: generally 11 am to 5 pm

Wednesday & Thursday: 10am - 5pm

Rescheduling and special accommodations made for babies' needs and yours

Virtual appointments available